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NPI 1346639481

NPI 1346639481 : DEBORAH CARTER LPCC : MOREHEAD, KY

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General NPI Number Information
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    NPI Number           |    1346639481
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    Entity Type          |    Individual 
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    Provider Name        |    DEBORAH CARTER LPCC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/13/2015
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    Last Update Date     |    03/22/2017
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Provider Practice Location Address
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    Address Line         |    411 BISHOP CT 
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    City                 |    MOREHEAD
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    State                |    KY
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    Zip                  |    40351-1009
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    Country              |    US
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    Telephone            |    606-784-2096
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 790 
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    City                 |    ASHLAND
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    State                |    KY
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    Zip                  |    41105-0790
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    Country              |    US
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    Telephone            |    606-329-8588
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    Fax                  |    606-329-8195
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    172441
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    License Number State |    KY
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